Active NPI
Leslie Wilson, LPC
- Professional Counselor
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401225351
- Practice address
- 476 James Gate CT
Holland, MI 49424-2922 - Phone
- (616) 635-4985
- NPI assigned
- Dec 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MI | ||
| Professional Counselor | 101YP2500X | 6401225351 | MI | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
476 James Gate CT
Holland, MI 49424-2922
Mailing address
17160 130TH Ave
Nunica, MI 49448-9450
Phone (616) 298-8190
Other practice location 1
17160 130th Ave
Nunica, MI 49448-9450
Phone (616) 298-8190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1253 Woodnoll Dr
Flint, MI 48507-4715
Phone (810) 243-0986
175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone (586) 627-0024
304 W Tobias St
Flint, MI 48503-3975
Phone (810) 742-3134
G3169 Beecher Rd
Flint, MI 48532-3611
Phone (810) 232-2766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Community Living, Inc. | Current | Accepting new patients | |
| Hope Network S E | Current | Accepting new patients | |
| Joy Therapy PLLC | Counselor | Current | Accepting new patients |
| Alternative Community Living, Inc. | Current | Accepting new patients | |
| Hope Network Behavioral Health Services | Current | Accepting new patients | |
| Alternative Community Living, Inc. | Current | Accepting new patients | |
| Alternative Community Living, Inc. | Past | Accepting new patients |
Locations
G3169 Beecher Rd
Flint, MI 48532
Phone (810) 213-1803
11652 W Grand River Ave
Lowell, MI 49331
Phone (616) 897-2956
175 N Groesbeck Hwy
Mount Clemens, MI 48043
Phone (586) 713-5103
17160 130th Ave
Nunica, MI 49448
Phone (616) 298-8190
1213 S Washington Ave
Saginaw, MI 48601
Phone (989) 401-9015
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Saginaw, MI
- NPI 1114131729
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1609859537
-
- Mental Illness Community Based Residential Treatment Facility
- Nunica, MI
- NPI 1043295934
-
- Professional Counselor
- Holland, MI
- NPI 1679369995
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Flint, MI
- NPI 1164718441
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1477769214
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saginaw, MI
- NPI 1487008652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1699435198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17160 130TH AVE",
"city": "NUNICA",
"state": "MI",
"postal_code": "494489450",
"telephone_number": "616-298-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476 JAMES GATE CT",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494242922",
"telephone_number": "616-635-4985"
}
],
"practiceLocations": [
{
"address_1": "17160 130th Ave",
"address_purpose": "LOCATION",
"city": "Nunica",
"state": "MI",
"postal_code": "494489450",
"country_code": "US",
"telephone_number": "616-298-8190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "LESLIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-23",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401225351",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.